Clinical effect analysis of three-port Da Vinci robot-assisted radical resection of lung cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANG Xiaowen ¹ , FANG Shaohan ² , FENG Yihui ² , LIU Jingwei ¹ , PAN Jianyun ¹ , SHAN Longyu ¹ , WANG Zhilin ¹ ,  GENG Guojun ² ,  JIANG Jie ²

1. Second Department of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, 361003, Fujian, P. R. China;
2. Second Department of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, 361003, Fujian, P. R. China;

Corresponding author：

GENG Guojun, Email: ggj622@126.com; JIANG Jie, Email: jiangjie06@126.com

Keywords：

Da Vinci robot; three-port method; lung cancer; pain; treatment; operation

DOI：

10.7507/1007-4848.202204004

Video：

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Objective To investigate the clinical effect of three-port Da Vinci robot-assisted radical resection of lung cancer. Methods The clinical data of patients who underwent Da Vinci robot-assisted radical resection of lung cancer in the Second Department of Thoracic Surgery, the First Affiliated Hospital of Xiamen University from April 2021 to March 2022 were retrospectively analyzed. According to the number of surgical ports, they were divided into two groups: a three-port group (three-port Da Vinci robot-assisted radical resection of lung cancer), and a four-port group (traditional Da Vinci robot-assisted radical resection of lung cancer). The operation time, intraoperative bleeding, lymphadenectomy, total thoracic drainage, extubation time, postoperative complications and postoperative pain of the two groups were compared and analyzed. Results A total of 58 patients were included, including 19 males and 39 females, aged 31-79 years. There were 21 patients in the three-port group, and 37 patients in the four-port group. The visual analogue scores on the first and third day after the operation were 4.33±1.20 points and 2.24±0.77 points in the three-port group, and 5.11±1.22 points and 2.78±1.06 points in the four-port group, and there were statistical differences between the two groups (P<0.05). There was no significant difference between the two groups in terms of operation time, intraoperative bleeding, lymph node dissection, postoperative thoracic drainage, time of thoracic tube insertion or postoperative complications (P>0.05). Conclusion Three-port Da Vinci robot-assisted radical resection of lung cancer can reduce the postoperative pain without increasing the operation difficulty and complications, and can be widely used in the clinical practice.

Citation： ZHANG Xiaowen, FANG Shaohan, FENG Yihui, LIU Jingwei, PAN Jianyun, SHAN Longyu, WANG Zhilin, GENG Guojun, JIANG Jie. Clinical effect analysis of three-port Da Vinci robot-assisted radical resection of lung cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(5): 678-682. doi: 10.7507/1007-4848.202204004 Copy

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13.	Cassidy MR, Rosenkranz P, McCabe K, et al. ⅠCOUGH: Reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA Surg, 2013, 148(8): 740-745.
14.	王希龙, 许世广, 刘博, 等. 达芬奇机器人与胸腔镜辅助小切口手术患者术后疼痛的病例对照研究. 中国胸心血管外科临床杂志, 2016, 23(3): 230-233.
15.	漏佳颖, 吴佳丰, 孙锡飞, 等. 胸腔镜手术对肺癌患者术后感染及疼痛应激相关指标的影响. 浙江创伤外科, 2022, 27(1): 32-34.
16.	Liu Z, Yang R, Shao F. Comparison of postoperative pain and recovery between single-port and two-port thoracoscopic lobectomy for lung cancer. Thorac Cardiovasc Surg, 2019, 67(2): 142-146.
17.	蒲睿智, 赵强, 胡德宏, 等. 单孔与单操作孔胸腔镜肺癌根治术治疗早期肺癌的疗效对比. 局解手术学杂志, 2022, 31(1): 40-43.
18.	曹孟昆, 姜杰, 朱晓雷, 等. 人工智能肺部结节辅助诊疗系统预测肺结节的良恶性及浸润情况. 中国胸心血管外科临床杂志, 2021, 28(3): 283-287.
19.	解明然, 王高祥, 徐美青, 等. 术前规划联合荧光胸腔镜精准肺段手术较传统胸腔镜肺段手术治疗早期肺腺癌近期结果比较. 中国肺癌杂志, 2021, 24(7): 483-489.
20.	Liu X, Zhao Y, Xuan Y, et al. Three-dimensional printing in the preoperative planning of thoracoscopic pulmonary segmentectomy. Transl Lung Cancer Res, 2019, 8(6): 929-937.

1. Li Q, Fan X, Huo JW, et al. Differential diagnosis of localized pneumonic-type lung adenocarcinoma and pulmonary inflammatory lesion. Insights Imaging, 2022, 13(1): 49.
2. Wang R, Wang Q, Jiang S, et al. Spontaneous ventilation video-assisted thoracoscopic surgery for non-small-cell lung cancer patients with poor lung function: Short- and long-term outcomes. Front Surg, 2022, 9: 800082.
3. Nachira D, Congedo MT, Tabacco D, et al. Surgical effectiveness of uniportal-VATS lobectomy compared to open surgery in early-stage lung cancer. Front Surg, 2022, 9: 840070.
4. Matsuura N, Igai H, Ohsawa F, et al. Safety and feasibility of uniportal video-assisted thoracoscopic uncommon segmentectomy. J Thorac Dis, 2021, 13(5): 3001-3009.
5. 植华德, 何德荣, 谢保东, 等. 基层医院开展全胸腔镜肺叶切除术治疗早期肺癌的临床研究. 疑难病杂志, 2016, 15(9): 885-888.
6. Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg, 2020, 155(2): 148-158.
7. 潘相龙, 许晶, 何志成, 等. 胸腔镜切口数对肺切除手术早期疗效的影响. 南京医科大学学报(自然科学版), 2021, 41(6): 889-891.
8. 张帆, 周勇锋, 辛伟. 不同类型胸腔镜治疗非小细胞肺癌的临床效果及对患者并发症的影响. 山西医药杂志, 2022, 51(8): 850-853.
9. Hu CG, Zheng K, Liu GH, et al. Effectiveness and postoperative pain level of single-port versus two-port thoracoscopic lobectomy for lung cancer: A retrospective cohort study. Gen Thorac Cardiovasc Surg, 2021, 69(2): 318-325.
10. 杨明, 宋书田, 李鲲鹏, 等. 两孔法和三孔法胸腔镜下行肺叶切除和淋巴结清扫术治疗肺癌的疗效比较. 中国临床医生杂志, 2022, 50(5): 591-594.
11. Xie MR, Zhu YF, Zhou MQ, et al. Analysis of factors related to chronic cough after lung cancer surgery. Thorac Cancer, 2019, 10(4): 898-903.
12. Colucci DB, Fiore JF, Paisani DM, et al. Cough impairment and risk of postoperative pulmonary complications after open upper abdominal surgery. Respir Care, 2015, 60(5): 673-678.
13. Cassidy MR, Rosenkranz P, McCabe K, et al. ⅠCOUGH: Reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA Surg, 2013, 148(8): 740-745.
14. 王希龙, 许世广, 刘博, 等. 达芬奇机器人与胸腔镜辅助小切口手术患者术后疼痛的病例对照研究. 中国胸心血管外科临床杂志, 2016, 23(3): 230-233.
15. 漏佳颖, 吴佳丰, 孙锡飞, 等. 胸腔镜手术对肺癌患者术后感染及疼痛应激相关指标的影响. 浙江创伤外科, 2022, 27(1): 32-34.
16. Liu Z, Yang R, Shao F. Comparison of postoperative pain and recovery between single-port and two-port thoracoscopic lobectomy for lung cancer. Thorac Cardiovasc Surg, 2019, 67(2): 142-146.
17. 蒲睿智, 赵强, 胡德宏, 等. 单孔与单操作孔胸腔镜肺癌根治术治疗早期肺癌的疗效对比. 局解手术学杂志, 2022, 31(1): 40-43.
18. 曹孟昆, 姜杰, 朱晓雷, 等. 人工智能肺部结节辅助诊疗系统预测肺结节的良恶性及浸润情况. 中国胸心血管外科临床杂志, 2021, 28(3): 283-287.
19. 解明然, 王高祥, 徐美青, 等. 术前规划联合荧光胸腔镜精准肺段手术较传统胸腔镜肺段手术治疗早期肺腺癌近期结果比较. 中国肺癌杂志, 2021, 24(7): 483-489.
20. Liu X, Zhao Y, Xuan Y, et al. Three-dimensional printing in the preoperative planning of thoracoscopic pulmonary segmentectomy. Transl Lung Cancer Res, 2019, 8(6): 929-937.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical effect analysis of three-port Da Vinci robot-assisted radical resection of lung cancer

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